Ricky Dale Wilson

NPI #1174159610 in Fairfield, Ohio

Provider Information

NPI Number
1174159610
Entity Type
Individual
Name
Ricky Dale Wilson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Mar 17, 2020
Last Updated
Sep 1, 2020

Practice Location

Address
6570 SOSNA DR
State
Ohio
ZIP Code
45014-2222
Phone
(513) 942-4673

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Behavior Technician

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